Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jolene A Derfus, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1598336620

Jolene A Derfus, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Crandon, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.

Licensed in
WI
In the registry since
2021

Practice location Address checks out

3144 Vanzile Rd
Crandon, WI 54520-8149
Phone: (715) 478-5180
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 19242 (WI)

Record details

NPI number1598336620
Entity typeIndividual (Type 1)
GenderFemale
Credentials SAC-IT
Sole proprietorNo
NPI enumeratedJuly 9, 2021
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021

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